Hi everyone,

Latest article from the American Academy of Pediatrics
regarding FAP (Functional Abdominal Pain) and IBS and
hypnotherapy:

Hypnosis for Functional Abdominal Pain & Irritable
Bowel Syndrome

Source: Vlieger AM, Menko-Frankenhuis C, Wolfkamp SC,
et al. Hypnotherapy for children with functional
abdominal pain or irritable bowel syndrome: a
randomized controlled trial. Gastroenterology.
2007;133(3):1430–1436;
doi:10.1053/j.gastro.2007.08.072[CrossRef][Medline]



PICO*
Question: Among children with functional abdominal
pain, can hypnotherapy improve quality of life and
decrease pain?

Question type: Therapy

Study Design: Randomized controlled trial





The purpose of this study, conducted in the
Netherlands, was to examine the effectiveness of
hypnotherapy compared to standard medical care in a
pediatric population with functional abdominal pain
(FAP) or irritable bowel syndrome (IBS).

Patients ages 8–18 years with either FAP (n=31) or IBS
(n=22) were randomized to either hypnotherapy or
standard medical care. Hypnotherapy was conducted at a
site distant from the academic center by a registered
nurse with years of training and experience in
hypnotherapy. The hypnotherapy intervention consisted
of six age-appropriate 50-minute sessions over a
three-month period.

The goal of the hypnotherapy was to provide
suggestions for general relaxation, sleep improvement,
and "ego-strengthening." Standard medical care
consisted of physician-directed education, dietary
advice, extra dietary fiber, and pain medication in
addition to six half-hour sessions of "supportive
therapy" conducted over a three-month period.

Patients in both groups maintained a pain diary card
on which they recorded the daily frequency and
intensity of abdominal pain and other somatic symptoms
such as headache. Outcomes were assessed at baseline,
one, four, eight, and 12 weeks after randomization and
again six and 12 months post-therapy.

Gastrointestinal pain scores decreased significantly .
. .

Debra Lobato, PhD1 and Neal LeLeiko, MD, PhD, FAAP2 1
Psychiatry, Bradley/Hasbro Children’s Research Center,
Rhode Island Hospital and Warren Alpert Medical School
of Brown University, Providence, RI
2 Pediatric Gastroenterology, Nutrition, and Liver
Diseases, Rhode Island Hospital and Warren Alpert
Medical School of Brown University, Providence, RI



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